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75 FREE NCLEX QUESTIONS WITH 100% CORRECT ANSWERS
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75 FREE NCLEX QUESTIONS WITH 100% CORRECT ANSWERS
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75 FREE NCLEX QUESTIONSWITH 100% CORRECT ANSWERS
ThevnursevisvtakingvthevhealthvhistoryvofvavpatientvbeingvtreatedvforvEmphysemavandvC
hronicvBronchitis.vAftervbeingvtoldvthevpatientvhasvbeenvsmokingvcigarettesvforv30vyear
s,vthevnursevexpectsvtovnotevwhichvassessmentvfinding?
1.vIncreasevinvForcedvVitalvCapacityv(FVC)
2.vAvnarrowedvchestvcavity
3.vClubbedvfingersv
4.vAnvincreasedvriskvofvcardiacvfailurev-vcorrectvanswer-
1.vIncreasevinvForcedvVitalvCapacityv(FVC)
ForcedvVitalvCapacityvisvthevvolumevofvairvexhaledvfromvfullvinhalationvtovfullvexhalation
.vAvpatientvwithvCOPDvwouldvhavevavdecreasevinvFVC.vIncorrect.
2.vAvnarrowedvchestvcavity
AvpatientvwithvCOPDvoftenvpresentsvwithvav'barrelvchest,'vwhichvisvseenvasvavwidenedv
chestvcavity.vIncorrect.
3.vClubbedvfingersv-vCORRECT
Clubbedvfingersvarevavsignvofvavlong-term,vorvchronic,vdecreasevinvoxygenvlevels.
4.vAnvincreasedvriskvofvcardiacvfailure
Althoughvavpatientvwithvthesevconditionsvwouldvindeedvbevatvanvincreasedvriskvforvcard
iacvfailure,vthisvisvavpotentialvcomplicationvandvnotvanvassessmentvfinding.vIncorrect.
Thevnursevisvtakingvthevhealthvhistoryvofvav70-year-
oldvpatientvbeingvtreatedvforvavDuodenalvUlcer.vAftervbeingvtoldvthevpatientvisvcomplaini
ngvofvepigastricvpain,vthevnursevexpectsvtovnotevwhichvassessmentvfinding?
1.vMelena
2.vNausea
3.vHernia
4.vHyperthermiav-vcorrectvanswer-1.vMelenav-vCORRECT
,Melenavisvthevfindingvthatvtherevarevtracesvofvbloodvinvthevstoolvwhichvpresentsvasvblac
k,vtarryvfeces.vThisvisvavcommonvmanifestationvofvDuodenalvUlcers,vsincevthevDuoden
umvisvfurthervdownvthevgastricvanatomy.
2.vNausea
Nauseavmayvbevpresent,vbutvisvavgeneralizedvsymptomvandvbyvitselfvdoesn'tvindicateva
vDuodenalvUlcer.vIncorrect.
3.vHernia
AvHerniavisvavprotrusionvofvavsegmentvofvthevabdomenvthroughvanothervabdominalvstru
cture.vItvisvnotvassociatedvwithvanvUlcervandvisvavcondition,vnotvanvassessmentvfinding.v
Incorrect.
4.vHyperthermia
Hyperthermia,vavhighvtemperature,visvnotvanvassessmentvfindingvofvavDuodenalvUlcer.v
Incorrect
AvnursevisvprovidingvdischargevteachingvforvavpatientvwithvseverevGastroesophogealvR
efluxvDisease.vWhichvofvthesevstatementsvbyvthevpatientvindicatesvavneedvforvmorevtea
ching?
1.v"I'mvgoingvtovlimitvmyvmealsvtov2-3vpervdayvtovreducevacidvsecretion."
2.v"I'mvgoingvtovmakevsurevtovremainvuprightvaftervmealsvandvelevatevmyvheadvwhenvIv
sleep"
3.v"Ivwon'tvbevdrinkingvteavorvcoffeevorveatingvchocolatevanyvmore."
4.v"I'mvgoingvtovstartvtryingvtovlosevsomevweight."v-vcorrectvanswer-
1.v"I'mvgoingvtovlimitvmyvmealsvtov2-3vpervdayvtovreducevacidvsecretion."
CORRECTv-
vLargevmealsvincreasevthevvolumevandvpressurevinvthevstomachvandvdelayvgastricvemp
tying.vIt'svrecommendedvinsteadvtoveatv4-6vsmallvmealsvavday.
2.v"I'mvgoingvtovmakevsurevtovremainvuprightvaftervmealsvandvelevatevmyvheadvwhenvIv
sleep"
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
3.v"Ivwon'tvbevdrinkingvteavorvcoffeevorveatingvchocolatevanyvmore."
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
4.v"I'mvgoingvtovstartvtryingvtovlosevsomevweight."
Incorrectv-vThisvisvavcorrectvverbalizationvofvhealthvpromotionvforvGERD.
ThevnursevinvthevEmergencyvRoomvisvtreatingvavpatientvsuspectedvtovhavevavPepticvUl
cer.vOnvassessingvlabvresults,vthevnursevfindsvthatvthevpatient'svbloodvpressurevisv95/6
0,vpulsevisv110vbeatsvpervminute,vandvthevpatientvreportsvepigastricvpain.vWhatvisvthevP
RIORITYvintervention?
1.vStartvavlarge-borevIVvinvthevpatient'svarm
,2.vAskvthevpatientvforvavstoolvsample
3.vPreparevtovinsertvanvNGvTube
4.vAdministervintramuscularvmorphinevsulphatevasvorderedv-vcorrectvanswer-
1.vStartvavlarge-borevIVvinvthevpatient'svarm
CORRECTv-
vThevnursevshouldvsuspectvthatvthevpatientvisvhaemorrhagingvandvwillvneedvneedvavflui
dvreplacementvtherapy,vwhichvrequiresvavlargevborevIV.
2.vAskvthevpatientvforvavstoolvsample
Incorrectv-
vWhilevthisvisvusefulvinvthevdiagnosisvandvassessmentvofvPepticvUlcervDisease,vitvisvnotv
thevpriorityvintervention.
3.vPreparevtovinsertvanvNGvTube
Incorrectv-
vWhilevthisvinterventionvmayvbevusedvinvthevlatervstagesvofvPepticvUlcervDisease,vitvisvn
otvthevfirstvandvpriorityvintervention.
4.vAdministervintramuscularvmorphinevsulphatevasvordered
Incorrectv-
vWhilevthisvisvanvimportantvinterventionvtovmanagevpain,vitvisvnotvthevpriorityvinterventio
n.
Avfemalevpatientvwithvatrialvfibrillationvhasvthevfollowingvlabvresults:vHemoglobinvofv11v
g/dl,vavplateletvcountvofv150,000,vanvINRvofv2.5,vandvpotassiumvofv2.7vmEq/
L.vWhichvresultvisvcriticalvandvshouldvbevreportedvtovthevphysicianvimmediately?
1.vHemoglobinv11vg/dl
2.vPlateletvofv150,000
3.vINRvofv2.5
4.vPotassiumvofv2.7vmEq/Lv-vcorrectvanswer-1.vHemoglobinv11vg/dl
Thisvisvbelowvnormal,vbutvavnormalvfemalevhemoglobinvisv12-
14.vTherevisvavmorevcriticalvlabvresult.
2.vPlateletvofv150,000
Thisvisvalsovbelowvthevnormalvvalues,vbutvisvnotvthevmostvcriticalvlabvresult.
3.vINRvofv2.5
Thisvisvavtherapeuticvrangevforvavpatientvwhovisvtakingvanvanticoagulantvforvatrialvfibrilla
tion
4.vPotassiumvofv2.7vmEq/L
CORRECTv-
vAvpotassiumvimbalancevforvavpatientvwithvavhistoryvofvdysrhythmiavcanvbevlife-
threateningvandvcanvleadvtovcardiacvdistress.
WhilevreceivingvnormalvsalinevinfusionsvtovtreatvavGIvbleed,vthevnursevnotesvthatvthevpa
tient'svlowervlegsvhavevbecomevedematousvandvauscultatesvcracklesvinvthevlungs.vWh
atvshouldvthevnursevdovfirst?
, 1.vStopvthevsalinevinfusionvimmediately
2.vNotifyvPhysician
3.vElevatevthevpatient'svlegs
4.vContinuevthevinfusion,vsincevthesevarevnormalvfindingsv-vcorrectvanswer-
1.vStopvthevsalinevinfusionvimmediately
CORRECTv-
vthevpatientvhasvavfluidvvolumevoverloadvasvavresultvofvoverlyvrapidvfluidvreplacement.vT
hevnursevshouldvstopvthevinfusionvandvnotifyvthevphysician.
2.vNotifyvPhysician
Thisvisvnotvthevfirstvactionvthevnursevshouldvtake.
3.vElevatevthevpatient'svlegs
Thisvwouldvhelpvwithvthevedema,vbutvisvnotvavpriority
4.vContinuevthevinfusion,vsincevthesevarevnormalvfindings
Thisvisvnotvavnormalvfinding
ThevnursevisvworkingvinvavsupportvgroupvforvclientsvwithvHIV.vWhichvpointvisvmostvimpo
rtantvforvthevnursevtovstress?
1.vTheyvmustvinformvhouseholdvmembersvofvtheirvcondition
2.vTheyvmustvtakevtheirvmedicationsvexactlyvasvprescribed
3.vTheyvmustvabstainvfromvsubstancevuse
4.vTheyvmustvavoidvlargevcrowdsv-vcorrectvanswer-
1.vTheyvmustvinformvhouseholdvmembersvofvtheirvcondition
Incorrectv-
vEachvpatientvhasvavrightvtovprivacyvofvtheirvmedicalvcondition.vItvisvtheirvchoicevwhether
vtheyvinformvhouseholdvmembers.
2.vTheyvmustvtakevtheirvmedicationsvexactlyvasvprescribed
CORRECTv-vAntiretroviralsvmustvbevtakenvexactlyvasvprescribedvtovpreventvdrug-
resistantvstrains.vEvenvmissedvdosesvcanvreducevtheveffectivenessvofvfuturevtreatment
.
3.vTheyvmustvabstainvfromvsubstancevuse
Incorrectv-
vWhilevsubstancevusevshouldvbevdiscouraged,vusingvsafevpracticesvwithvneedlesvcanvp
reventvtransmissionvofvHIV.
4.vTheyvmustvavoidvlargevcrowds
Incorrectv-
vAvoidingvlargevcrowdsvtovpreventvinfectionvisvavpriorityvinvthevlatervstagesvofvHIV,vwhe
nvthevpatientvhasvAIDS.
Avnursevfindsvav30-year-
oldvwomanvexperiencingvanaphylaxisvfromvavbeevsting.vEmergencyvpersonnelvhavevb
eenvcalled.vThevnursevnotesvthevwomanvisvbreathingvbutvshortvofvbreath.vWhichvofvthevf
ollowingvinterventionsvshouldvthevnursevdovfirst?
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